Individual provider Active NPI

Tiffany Nguyen

  • Marriage & Family Therapist
  • Garden Grove, CA
National Provider Identifier
1124735196
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
136741 Issued in CA
Practice address
12966 Euclid St Ste 495
Garden Grove, CA 92840-9209
Phone
(714) 461-3687
Fax
(714) 591-5015
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 136741 CA Primary

Addresses

Primary practice location

12966 Euclid St Ste 495
Garden Grove, CA 92840-9209

Mailing address

12966 Euclid St Ste 495
Garden Grove, CA 92840-9209
Phone (714) 461-3687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
136741CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Asian and Pacific Islander Community Alliance Inc CurrentSince Nov 5, 2023 Accepting new patients
Rite of Passage Adolescent Treatment Centers and Schools, Inc. PastSince Nov 1, 2022 Accepting new patients

Locations

12966 Euclid St
Ste 495
Garden Grove, CA 92840
Phone (714) 461-3687

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1124735196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12966 EUCLID ST STE 495",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928409209",
            "telephone_number": "714-461-3687",
            "fax_number": "714-591-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12966 EUCLID ST STE 495",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928409209",
            "telephone_number": "714-461-3687",
            "fax_number": "714-591-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "136741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.